Altered Sleep-Sherpath
A nurse is teaching a patient about the effects of medication on sleep. Which statement shows a need for further teaching?
"Barbiturates increase REM sleep."
The nurse is discussing night terrors with a patient. Which statement made by the patient shows proper understanding?
"Fever tends to trigger night terrors."
Which patient has the greatest risk of developing obstructive sleep apnea (OSA)?
Obese, adult male smoker with a large neck circumference.
Which patient(s) would be most likely suffer from sleep disturbances?
-Young adult female with marital problems. -Older adult male who recently lost his wife in death. -Child who is spending the summer away from home at camp. -Adult female caring for a family member with a chronic illness.
Which dyssomnia is characterized by a prolonged lack of sleep of good quality and inadequate quantity?
Sleep deprivation.
How are sleep deprivation and narcolepsy similar?
Both disorders can cause hallucinations.
Which disturbance is associated with clenching or grinding of the teeth during sleep?
Bruxism.
A nurse is caring for a patient who is having difficulty sleeping. The patient states that he is going through a lot of stress since he changed jobs, and is considering moving out of the city to the country. Which statement by the nurse is appropriate?
"Moving to a new location, even a quieter one, may worsen your insomnia."
The nurse is teaching a patient about the effects of alcohol on sleep. Which statement by the patient shows a need for further teaching?
"Three glasses of wine a day will help a person sleep."
A nurse is teaching a parent with a child diagnosed with nocturnal enuresis about the disorder. Which statement(s) by the parent shows a need for further teaching?
-"If my daughter does not watch scary movies at night she will not wet the bed." -"My daughter is between ages 3-7, the ages when bedwetting is common." -"My daughter cannot control her bladder; there must be something wrong with her." -"My daughter does not need behavioral therapy for her bedwetting problem."
The nurse is teaching a patient about secondary sleep disorders. Which statement by the patient shows effective teaching?
-"Sinus drainage may cause difficulty breathing." -"Shortness of breath impairs the ability to sleep." -"End-stage renal disease leads to daytime sleepiness."
Which are examples of nervous system stimulants that disrupt the sleep cycle?
-Coffee. -Cola. -Chocolate.
Which disorders are possible causes of hypersomnia?
-Kidney disorders. -Diabetic acidosis. -Central nervous system.
Which symptoms of low estrogen levels interfere with a woman's sleep?
-Night sweats. -Daytime fatigue.
Sleep apnea is characterized by a lack of airflow through the mouth and nose for at least ___ seconds during sleep
10.
A nurse is caring for a hospitalized patient with insomnia. The patient fell asleep at 5:00 and has been asleep for 30 minutes. What time would be the most appropriate for the nurse to return to provide care for this patient, while allowing him the minimum time to complete all of his sleep cycles?
7:10.
Up to ___% of patients with depression report disturbed sleep.
90
Which condition affects REM sleep?
Coronary artery disease pain.
A patient recovering from a serious illness, with a history of anxiety, complains having difficulty in sleeping. What additional mental health disorder should the nurse suspect in this patient?
Depression.
What night-time snack is appropriate for a patient with a history of insomnia?
Graham crackers.
A patient with a liver disorder has been unable to function at work for the past few months due to excessive daytime sleepiness. The patient sleeps nine hours each night, but still has trouble getting up for work. What condition does the nurse suspect for this patient?
Hypersomnia.
Which disorder is the most common type of dyssomnia?
Insomnia.
Which statement characterized nocturnal enuresis?
It is a socially disruptive condition common in childhood.
A nurse caring for a hospitalized patient with insomnia should implement which recommendation to help the patient sleep?
Keep the patient's door closed.
Which long-term medication(s) should be prescribed for a patient who has a history of insomnia?
Lunesta.
A patient with no known medical conditions is complaining that she is tired all the time and unable to stay awake. She is falling asleep while at work, has vivid hallucinations upon awakening, and brief episodes of paralysis at the beginning of sleep. The nurse suspects that this patient is suffering from which condition?
Narcolepsy.
Which parasomnia may be associated with self-injury and sleep-related violence?
Somnambulism.
